HomeMy WebLinkAboutPROACTIVE CONSULTING GROUP, LLCN-2018-187-01
INSURANCE NOT ON FILE
WORK MAY Nil PROCEED
MAYOR
il A P,Aoo CLERK OF COUNCIL
MAYOR PRO TrM
Juan Yiilegaa DATE: J'i,L Cl Z 2019
COLINCILMEMBERS
Cecilia as
David enai
Vicente Sarmiee Same
ntp W
.fuse Solos o CITY OF SANTA Al l
PUBLIC WORKS AGENCY
20 davit Center Rla:ua
Santa Ana. Callomia 22701
."A Kom„t n Jj
June 1%2t)1I)
Proactisc Caisalkittg Group, Ll,C
law: lhar uh Tarn. hianager
15235 Springdale Strect
Huntington reach, CA 920<11)
CITY MANAGER
Kristine Ridge
CITY ATTORNEY
Sonia R Cantalho
Ac,rING CLERK OF THE COUNC.0.
Norma We
Re. I;xt usipn of Agrecnivptt t,ti-?li18-I R? to provide tiC Vt)i�9td cotnpliancc assistance :cry iaes
[)car 5,4r. Tam:
Pursuant to Scction 3, term, of Agreclnent No. 4201 & 15 C Agrectta �u' ), entered into h} Omactk e
Conwhiu!! Scalp. L.L.0 and the City 4Sanut Ana. dated Juno 16. "_'U18. the pasties herch5 atarcc to
extend the Agreement Ar an additional one ( 1) scar pakA until hate 15. ZI)X The hhunmce i:undlew
are rest ccI to he csteu led ,m.Vor rencucrd to comer this exonAwn. All other toruts and condhOns of,aid
At,rcc ncr ramain unch -
and in 1uH Low and cict fc.
Sind rely, ✓� PIVOAUIJ, �t1NSt;,M2-(=C:ItoupI,[,(-
Fu ui Sttvisa. l'E PLS I)y.
ti�ecutive Ui Mor, Public forks Ageng Title: st,111/10,001
CIT1 t)f TAANA tI1TINT:
k a iu Itid4e
City Manager Norma Muse
AN, C'Ical ofine C unal
APPROVED AS TO F0)10L
Sonia R. Catalho
City Attornay
i n bi. Funh
3til stain Citl Attortwt
SANIA:ANA079 QVINCIs
ACCRHCERTIFICATE OF LIABILITY INSURANCE
iit..%"
DATE(MMIDDIYYYY)
1 01 /24/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT NAME: Aimee Guesno
Cornerstone Specialty Insurance Services, Inc.
PAHONE (714) 731-7700 FiC No : (774) 731-7750
14252 Culver Drive, A299
E-MAIL aimee(poomerstones ecial .corn
ADDRESS: P tY
INSURERS) AFFORDING COVERAGE
NAIC0
Irvine CA 92604
INSURERA: Continental Casualty Company
20443
INSURED
INSURER B: Valley Forge Insurance Company
20508
PROACTIVE CONSULTING GROUP, LLC
INSURER C:
15235 Springdale St.
INSURER D:
NSURER E
Huntington Beach CA 92649
1 INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER -
THIS IS TO CERTIFY THAT HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
W
POLICY NUMBER
MMIDDII'YYY
MMMD EXP
LIMITS
X
COMMERCIAL GENERAL LIABILITY
CIAIMSMADE Fx] OCCUR
EACH OCCURRENCE
$ 2,000,000
PREMISES E.occurrence)
$ 300,000
MED EXP An one ersun
$ 10,000
ADDT'L INSURED / PRIMARY
BLNKTWVR OF SUBRO
PERSONAL 4ADV INJURY
$ 2,000,000
A
Y
Y
2084330890
06/01/2019
06/01/2020
GEN'LAGGREGATE UMITAPPLIES PER:
POLICY ® PRO.
ECT LOD
GENERALAGGREGATE
$ 4,000,000
PRODUCTS - COMP/OPAGG
$ 4,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Es accident
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
Y
Y
2084330890
05/01/2019
06/01/2020
BODILY INJURY Per accident)
a
HIRED X NON -OWNED
AUTOS ONLY AUTOSONLY
X
PROPERTY DAMAGE
Per amident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DELI
I I RETENTION $
$
B
WORKERS COMPENSATION
ANDEMPLOYERS'LIABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
MIA
Y
4024152345
06/01/2019
06/01/2020
X STATUTE ERH
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
(Mandatory In NH)
It yes, desoiiba under
DESCRIPTION OF OPERATIONS below
EA_ DISEASE - POLICY LIMIT
$ 1,000,000
PROFESSIONAL LIABILITY
EACH CLAIM
$1,000,000
A
Claims Made
EEH288355962
07/28/2019
07/28/2020
ANNUAL AGGREGATE
$2,000,000
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLEB (ACORD ID1, Additional Remarks Schedule, may be attached if more space is required)
RE: Environmental Compliance Consulting Services
City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured for General &Auto Liability but only if required by
written Contract with the Named Insured prior to an occurrence and as per attached endorsement. Such insurance as is afforded by this policy shall be
primary, and any insurance Carried by City shall be excess and noncontributory. Coverage is subject to all policy terms and conditions. -30 days notice of
cancellation, except for 10 days notice for non-payment of premium. For Professional Liability coverage, the aggregate limit is the total insuance available
for all covered claims reported within the policy period. "
CERTIFICATE HOLDER nCVlt-WFU CL fir ` — rnur-EI I ATInN
By Risk
ANAGE"to
-----...._..
SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
r] ^
THE EXPIRATION THEREOF, NOTICE BE DELIVERED IN
ACCORDANCE
City ofSanaAnaRisk
WIITTHTE
HE POLICY PROVISIONSL
Mgmt. Division, 4--�20
AUTHORIZED REPRESENTATIVE
Civic Center Plaza
AIV4;�
SantaAna
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 2512016103) The ACORD name and logo are registered marks of ACORD
INSURED: Proactive Consulting Group,LLC POLICY PERIOD: 6/1/2019-6/1/2020
POLICY NUMBER: 2084330890
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED WITH PRODUCTS -COMPLETED
OPERATIONS COVERAGE AND BLANKET WAIVER OF
SUBROGATION / AGGREGATE LIMIT (PER PROJECT)
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
BUSINESSOWNERS COMMON POLICY CONDITIONS
1. Blanket Additional Insured with Products -Completed Operations Coverage and Blanket Waiver of
Subrogation
A. Who Is An Insured is amended to include as an insured, any person or organization whom you are required
to add as an additional insured on this policy under a written contract or written agreement, but the written
contract or written agreement must be:
1. Currently in effect or becoming effective during the term of this policy; and
2. Executed prior to the:
a. "Bodily injury" or "property damage"; or
b. Offense that caused the "personal and advertising injury;"
for which the additional insured seeks coverage.
B. The insurance provided to the additional insured is limited as follows:
1. That person or organization is an additional insured only with respect to such person or organization's
liability for:
a. "Bodily injury", "property damage" or "personal and advertising injury to the extent caused by:
(1) Your acts or omissions, or
(2) Acts or omissions of those acting on your behalf;
in the performance of your ongoing operations specified in the written contract; or
b. "Bodily injury" or "property damage" to the extent caused by "your work" specified in the written
contract or written agreement and included in the "products -completed operations hazard", but only
if:
(1) The written REVIEWen contract or written agreement requires�t'de ttO i I insured such
coverage; and O
IVI
B RIRiskANAGEMENT f?dV1560N
(2) This Coverage Part provides such coverage. y
2. The Limits of Insurance applicable to the additional insured are thof,@ d e written contract or
written agreement or in the Declarations of this policy, whichever is lass limits of Insurance are
inclusive of, and not in addition to, the Limits of Insurance shQM
-tla r AI
3. The insurance provided to the additional insured does not odil injurypJ�@ r a��personal and advertising injury" arising out of an architect'surv�yd'rfeild2TtRg of or
failure to render any professional services, including:
SB300176D17 (6-16)
Page 1 of 3
Copyright, CNA All Rights Reserved.
CNA
a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports,
surveys, field orders, change orders or drawings and specifications by any architect, engineer or
surveyor performing services on a project of which you serve as a construction manager; or
b. Inspection, supervision, quality control, engineering or architectural services done by you on a
project of which you serve as construction manager.
4. This insurance provided to the additional insured does not apply to "bodily injury," "property damage," or
"personal and advertising injury" arising out of construction or demolition work while you are acting as a
construction or demolition contractor.
C. With respect only to the insurance provided by this endorsement, the condition entitled Other Insurance of
the BUSINESSOWNERS COMMON POLICY CONDITIONS is amended to delete paragraphs 2. and 3., and
replace them with the following:
2. This insurance is excess over any other insurance available to the additional insured, whether primary,
excess, contingent or on any other basis. But if required by the written contract or written agreement, this
insurance will be primary and noncontributory relative to insurance on which the additional insured is a
Named Insured.
3. When this insurance is excess, we will have no duty under Business Liability insurance to defend the
additional insured against any "suit" if any other insurer has a duty to defend the additional insured
against that "suit" if no other insurer defends, we will undertake to do so, but we will be entitled to the
additional insured's rights against all those other insurers.
When this insurance is excess over other insurance, we will pay only our share of the amount of the loss,
if any, that exceeds the sum of:
(a) The total amount that all such other insurance would pay for the loss in the absence of this
insurance; and
(b) The total of all deductible and self -insured amounts under all that other insurance.
We will share the remaining loss, if any, with any other insurance that is not described in this Excess
Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown
in the Declarations of this Coverage Part.
D. Additional Insured — Extended Coverage
When an additional insured is added by this or any other endorsement attached to this Coverage Part, Who
Is An Insured is amended to make the following natural persons insureds.
If the additional insured is:
a. An individual, then his or her spouse is an insured;
b. A partnership or joint venture, then its partners, members and their spouses are insureds;
c. A limited liability company, then its members and managers are insureds; or
d. An organization other than a partnership, joint venture or limited liability company, then its executive
officers, directors and shareholders are additional insureds;
but only with respect to locations and operations covered by the additional insured endorsement's provisions,
and only with respect to their respective roles within their organizations.
Please see the Estates, Legal Representatives and Spouses proviRfMLWEO(&r) (f[Bditional
coverage and restrictions applicable to spouses of natural person insuredsRlsk MANAGEMENT DIVISION
E. Blanket Waiver of Subrogation pp
The condition entitled Transfer of Rights of Recovery Against Others To tl thR IESSOWNERS
COMMON POLICY CONDITIONS is amended to delete paragraph 2. and f llowiog_
2. We waive any right of recovery we may have against any person or I I ou e
agreed to waive such right of recovery in a written contract or agreement because of payments w9e make
Page 2 of 3
Copyright, CNA All Rights Reserved.
CNA
for injury or damage arising out of your ongoing operations or "your work" done under a contract with that
person or organization and included within the "products -completed operations hazard."
2. Amendment- Aggregate Limits of Insurance (Per Project)
A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under
Coverage A.1., and for all medical expenses caused by accidents under Coverage A.2., which can be
attributed only to ongoing operations at a single construction project:
1. A separate Construction Project General Aggregate limit applies to each construction project. The
Construction Project General Aggregate limit is equal to the amount of the General Aggregate limit
shown in the Declarations.
2. The Construction Project General Aggregate limit is the most we will pay for the sum of all damages
payable under Coverage A.1., except damages because ofbodily injury" or "property damage" included
in the "products -completed operations hazard," and for medical expenses payable under Coverage A.2.
regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or bringing "suits."
3. Any payments made under Coverage A.1. for damages or under Coverage A.2. for medical expenses
shall reduce the Construction Project General Aggregate limit for the applicable construction project.
Such payments shall not reduce the General Aggregate limit shown in the Declarations nor shall they
reduce any Construction Project General Aggregate limit applicable to other construction projects.
4. The limits shown in the Declarations for Liability and Medical Expenses, Damage to Premises Rented to
You, and Medical Expenses continue to apply. However, instead of being subject to the General
Aggregate limit shown in the Declarations, such limits will be subject to the applicable Construction
Project General Aggregate limit.
B. All:
1. Damages because of "personal and advertising injury", regardless of the number of construction projects
involved;
2. Damages under Coverage A.1. which cannot be attributed solely to ongoing operations at a single
construction project, except damages because of 'bodily injury" or "property damage" included in the
"products -completed operations hazard" and
3. Medical expenses under Coverage A.2. caused by accidents which cannot be attributed solely to
ongoing operations at a single construction project;
will reduce the General Aggregate Limit shown in the Declarations, and shall not reduce any Construction
Project General Aggregate Limit.
C. When coverage for liability arising out of the "products -completed operations hazard" is provided, any
payments for damages because of "bodily injury" or "property damage" included in the "products -completed
operations hazard" will reduce the Products/Completed Operations Aggregate limit, and not reduce the
General Aggregate limit nor any Construction Project General Aggregate limit.
D. If a construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized
contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be
deemed to be the same construction project.
E. The provisions of the Limits Of Insurance section not otherwise modified .thy 1 continue
to apply as stipulated. ttV
BY V1Sk MANAGFMFNT (}IVISIO
All other terms and conditions of the Policy remain unchanged. FEB
A63uuT mull (ti-96)
Page 3 of 3
Copyright, CNA All Rights Reserved.
A�A INSURED: Proactive Consulting Group, LLC
POLICY NUMBER: 4024152345
EXPIRATION DATE: 6/1/2020
WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
This endorsement changes the policy to which it is attached.
It is agreed that Part One— Workers' Compensation Insurance G. Recovery From Others
and Part Two — Employers' Liability Insurance H. Recovery From Others are amended by
adding the following:
We will not enforce our right to recover against persons or organizations. (This agreement
applies only to the extent that you perform work under a written contract that requires you to
obtain this agreement from us.)
Premium Charge - 5% of the total standard premium for California exposure.
REVIEWED & APPROVES
By Risk M.4NgoFWAT '�ivisiON
�ALI% MO Aft